Mrs Brandy J Coleman, APRN in East Peoria, IL

Mrs Brandy J Coleman, APRN is a medicare enrolled "Nurse Practitioner - Family" in East Peoria, Illinois. Her current practice location is 133 Spinder Dr, East Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 308-5100.

Mrs Brandy J Coleman is licensed to practice in Illinois (license number 209024829) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376297937.

Contact Information

	Mrs Brandy J Coleman, APRN
	133 Spinder Dr, East Peoria, IL 61611-0016
	(309) 308-5100
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Brandy J Coleman
Gender	Female
Speciality	Nurse Practitioner - Family
Location	133 Spinder Dr, East Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376297937
Provider Enumeration Date: 02/11/2022
Last Update Date: 03/24/2023

Medicare PECOS Information:

PECOS PAC ID: 7911373220
Enrollment ID: I20221011002153

Medical Identifiers

Medical identifiers for Mrs Brandy J Coleman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376297937	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209024829 (Illinois)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Brandy J Coleman allows following entities to bill medicare on her behalf.

Entity Name	Edward Health Ventures
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962452912 PECOS PAC ID: 4284531484 Enrollment ID: O20031216000616

Entity Name	Northshore University Healthsystem Faculty Practice Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190507001451

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Brandy J Coleman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Brandy J Coleman, APRN 1731 Fairside Dr, Sandwich, IL 60548-1461 Ph: (815) 764-9724	Mrs Brandy J Coleman, APRN 133 Spinder Dr, East Peoria, IL 61611-0016 Ph: (309) 308-5100

Reviews and Comments

Nurse Practitioner Nurses in East Peoria, IL

Delanie Lynn Fletcher, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-308-5100
Mrs. Deidra Diane Anderson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-308-5100
Joshua A Larson, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 133 Spinder Dr Ste 4015, East Peoria, IL 61611 Phone: 309-308-5100 Fax: 309-308-5102
Courtney Elizabeth Reubin, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-308-5100
Brittany Anne Mcgill, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 133 Spinder Dr Ste 4015, East Peoria, IL 61611 Phone: 309-308-5100 Fax: 309-308-5102
Kerri Jean Schafer, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-308-5100 Fax: 309-308-5102

Mrs Brandy J Coleman, APRN - Medicare Nurse Practitioner in East Peoria, IL